NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-procedure | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreProcedure | ||||
Sets minimum expectations for recording a clinical procedure performed on or for a patient in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
  Procedure |
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  status |
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 code |
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 subject |
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| encounter |
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 performer |
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  actor |
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| location |
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| reasonReference |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||||||
 status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
| |||||||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: NP Core Procedure Value Set (required)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who the procedure was performed on
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of
| |||||||||
| performer |
1..* | BackboneElement | The people who performed the procedure
| |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Health Facility | NP Core Patient | NP Core RelatedPerson | NP Core Device) | The reference to the practitioner
| |||||||||
| onBehalfOf |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the procedure happened
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Procedure | NP Core Laboratory Report | DiagnosticReport | NP Core Clinical Document Reference | DocumentReference) | The justification that the procedure was performed
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
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| status |
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| code |
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| subject |
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| encounter |
|
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| performer |
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| actor |
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| location |
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| reasonReference |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External Identifiers for this procedure | |||||||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
| |||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: NP Core Procedure Value Set (required)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who the procedure was performed on
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of
| |||||||||
 performed[x] |
0..1 | When the procedure was performed | ||||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| recorder |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | |||||||||
| asserter |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | |||||||||
| performer |
1..* | BackboneElement | The people who performed the procedure
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Health Facility | NP Core Patient | NP Core RelatedPerson | NP Core Device) | The reference to the practitioner
| |||||||||
| onBehalfOf |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the procedure happened
| |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Procedure | NP Core Laboratory Report | DiagnosticReport | NP Core Clinical Document Reference | DocumentReference) | The justification that the procedure was performed
| |||||||||
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | |||||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||||||
| note |
0..* | Annotation | Additional information about the procedure | |||||||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
|||
| status |
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| code |
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| subject |
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| encounter |
|
|
|
| performer |
|
|
|
| actor |
|
|
|
| location |
|
|
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| reasonReference |
|
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
|||
| status |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| performer |
|
|
|
| actor |
|
|
|
| location |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
This structure is derived from Procedure
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
| |||||||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: NP Core Procedure Value Set (required)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who the procedure was performed on
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of
| |||||||||
| performer |
1..* | BackboneElement | The people who performed the procedure
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Health Facility | NP Core Patient | NP Core RelatedPerson | NP Core Device) | The reference to the practitioner
| |||||||||
| onBehalfOf |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the procedure happened
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Procedure | NP Core Laboratory Report | DiagnosticReport | NP Core Clinical Document Reference | DocumentReference) | The justification that the procedure was performed
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
|||
| status |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| performer |
|
|
|
| actor |
|
|
|
| location |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||||||
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
| |||||||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: NP Core Procedure Value Set (required)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who the procedure was performed on
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of
| |||||||||
| performer |
1..* | BackboneElement | The people who performed the procedure
| |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Health Facility | NP Core Patient | NP Core RelatedPerson | NP Core Device) | The reference to the practitioner
| |||||||||
| onBehalfOf |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the procedure happened
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Procedure | NP Core Laboratory Report | DiagnosticReport | NP Core Clinical Document Reference | DocumentReference) | The justification that the procedure was performed
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
|||
| status |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| performer |
|
|
|
| actor |
|
|
|
| location |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External Identifiers for this procedure | |||||||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
| |||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: NP Core Procedure Value Set (required)
| |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who the procedure was performed on
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of
| |||||||||
| performed[x] |
0..1 | When the procedure was performed | ||||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| recorder |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | |||||||||
| asserter |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | |||||||||
| performer |
1..* | BackboneElement | The people who performed the procedure
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Health Facility | NP Core Patient | NP Core RelatedPerson | NP Core Device) | The reference to the practitioner
| |||||||||
| onBehalfOf |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(NP Core Location) | Where the procedure happened
| |||||||||
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Procedure | NP Core Laboratory Report | DiagnosticReport | NP Core Clinical Document Reference | DocumentReference) | The justification that the procedure was performed
| |||||||||
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | |||||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||||||
| note |
0..* | Annotation | Additional information about the procedure | |||||||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
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| status |
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| code |
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| subject |
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| encounter |
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| performer |
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| actor |
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| location |
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| reasonReference |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | NP Core Procedure Value Set | 📦1.0.0 | This IG |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Procedure |
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| status |
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| code |
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| subject |
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| encounter |
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| performer |
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| actor |
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| location |
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|
|
| reasonReference |
|
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| Documentation for this format | |||
This structure is derived from Procedure
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron